Provider Demographics
NPI:1548475171
Name:ROSEN, LYNDSI DAWN (LMT)
Entity type:Individual
Prefix:
First Name:LYNDSI
Middle Name:DAWN
Last Name:ROSEN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11240 CHEYENNE TRL
Mailing Address - Street 2:B
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-9021
Mailing Address - Country:US
Mailing Address - Phone:216-337-8005
Mailing Address - Fax:216-491-3884
Practice Address - Street 1:3645 WARRENSVILLE CENTER RD
Practice Address - Street 2:121
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5247
Practice Address - Country:US
Practice Address - Phone:216-491-3883
Practice Address - Fax:216-491-3884
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH33.012628225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist